Nicholas W Hodgman, MD | |
4424 E Flamingo Ave, Ste 300, Nampa, ID 83687 | |
(208) 302-0200 | |
(208) 302-0255 |
Full Name | Nicholas W Hodgman |
---|---|
Gender | Male |
Speciality | Interventional Cardiology |
Experience | 23 Years |
Location | 4424 E Flamingo Ave, Nampa, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164439725 | NPI | - | NPPES |
CA3899 | Other | RR MEDICARE GROUP | |
POO731202 | Other | RR MEDICARE INDIV | |
71960 | Other | MEDICARE GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 38352 (Iowa) | Secondary |
207RI0011X | Internal Medicine - Interventional Cardiology | M-14705 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Alphonsus Medical Center - Nampa | Nampa, ID | Hospital |
Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
Saint Alphonsus Medical Center - Ontario, Inc | Ontario, OR | Hospital |
St. Alphonsus Medical Center - Baker City | Baker city, OR | Hospital |
St Luke's Regional Medical Center | Boise, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Saint Alphonsus Regional Medical Center Inc | 3476462359 | 533 |
Saint Alphonsus Regional Medical Center Inc | 3476462359 | 533 |
Entity Name | Saint Alphonsus Medical Center Nampa Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659371870 PECOS PAC ID: 7113821026 Enrollment ID: O20031121000788 |
Entity Name | Saint Alphonsus Regional Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036 |
Mailing Address | Practice Location Address |
---|---|
Nicholas W Hodgman, MD 3340 E Goldstone Dr, Meridian, ID 83642 Ph: (208) 302-0200 | Nicholas W Hodgman, MD 4424 E Flamingo Ave, Ste 300, Nampa, ID 83687 Ph: (208) 302-0200 |
Wesley David Pidcock, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4400 E Flamingo Ave Ste 200, Nampa, ID 83687 Phone: 208-302-2100 Fax: 208-302-2125 | |
Kenneth Wilhelm Jr., Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4400 E Flamingo Ave, Nampa, ID 83687 Phone: 208-288-4970 Fax: 208-288-4990 | |
Michael M Dee, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 215 E Hawaii Ave, Nampa, ID 83686 Phone: 208-463-3234 Fax: 208-463-3044 | |
Justin Tomal, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 Garrity Blvd, Nampa, ID 83687 Phone: 208-343-6458 | |
Braden Lawrence, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 85 S Middleton Rd, Nampa, ID 83651 Phone: 208-381-4100 | |
Ryan J. Williams, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 N Happy Valley Rd, Nampa, ID 83687 Phone: 208-401-9639 |